Individual
ERIC MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23560 MADISON ST, STE 206, TORRANCE, CA 90505-4708
(310) 325-1229
(310) 325-1233
Mailing address
23560 MADISON ST, STE 206, TORRANCE, CA 90505-4708
(310) 325-1229
(310) 325-1233
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
G61054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G610540
BLUE SHIELD
CA
05
—
00G610540
—
CA
Enumeration date
08/14/2006
Last updated
03/22/2021
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